Mabel Adams
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Everything posted by Mabel Adams
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I tought if a post BNP was high a pre- might help determine if it was underlying heart disease or not.
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It's just easier to give O units so we usually do that (or B to an A2B patient if we have shortdates to use up). I think our computer will see that the patient has an "antibody" and want us to do an AG xm. Sometimes it is easier not to argue with your computer or confuse the generalist techs with special rules for certain antibodies. It is especially bad to expect my night generalists to argue with the computer. Getting crosswise of it could take them (or me) all night to fix.
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And what will happen to the little non-registered transfusion service that does not apply for a variance? Most of them seem to be necessary because FDAs regs aren't up to date.
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Would pre and post BNPs be useful?
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My biggest labeling problem will be pools because we can't really get pre-printed labels for the pooled unit number that is generated by Meditech, but buying a label printing system is ridiculous for 6 pools of cryo per year. Our blood center plans to offer pre-pooled cryo but not for a year or so after the ISBT change. They tell me that I can just pool into one of the cryo bags instead of a transfer pack and just add a tie-tag that lists all the units in the pool but leave the original cryo label on the bag. Seems kind of ugly, but might work. Anyone else doing this?
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How can I find the tutorial on the Meditech website? I am just starting the ISBT conversion on Magic 5.61 Meditech with a live date of Dec. I think it would be great if some of us formed an informal email group to confer as we work out the kinks. We have only been live since January and our IT guy that helped me install just left for another job.
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Ortho Gel new prediluted cells formulation
Mabel Adams replied to Mabel Adams's topic in Transfusion Services
Maybe it is our panel A that is deteriorating! But that wouldn't explain why the new vials of screen cell 2 come up negative with the same sample. We tend to leave our reagents out on the counter most of the time and only go through about 2.5 vials per month. Maybe we should be popping them in the fridge more??? -
Ortho Gel new prediluted cells formulation
Mabel Adams replied to Mabel Adams's topic in Transfusion Services
Is anyone else having problems with false positive reactions in prediluted screening cells now? Our first ordered lot of the new formulation (not the correlation lot) seemed to be one of those occasional lots with a stronger Sda expression or something. All cell 2 vials from the lot reacted the same way. The two lots since then have each had weak reactions mostly in cell 2 on some patients, but when we pull a new vial of the same lot out and run it, we get negative. I am wondering if the cells are deteriorating in some way that they didn't before. -
I am wishing I had kept the nifty device from our old Sorval tubing that I used instead of the pinch valve. It was a barrel shaped thing that you twisted to increase or decrease saline volume. It was standard on Sorval cellwashers 25+ years ago, I think. I should go dig around in storage for it now that I know it is valuable.
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Our anti-D reagents don't have this limitation. I don't know how a lipemic (fatty) or icteric (high bilirubin) sample would interfere--especially if you washed the cells before typing. Or is this a regent used in the gel method? I wonder if you could look up some of the German words on one of those on-line translators. Say, Bob, besides "legalese" are you also fluent in German? Better yet, the recent poster from Switzerland might be able to help.
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Thread Tools Show Printable Version Email this Page Unsubscribe from this Thread Display Modes Linear Mode Switch to Hybrid Mode Switch to Threaded Mode Search this Thread Advanced Search Rate This ThreadExcellent Good Average Bad http://www.bloodbanktalk.com/forum/images/aria/rating/rating_1.gifTerrible http://www.bloodbanktalk.com/forum/images/aria/buttons/collapse_thead.gif Posting Rules You may post new threads You may post replies You may post attachments You may edit your posts vB code is On Smilies are On code is On HTML code is Off I copied and pasted here the only thing in the bottom left of my page (the posting rules box) and it posted all the other stuff above it as well that is not at the bottom left of my page. I even had my husband look for the display box you refer to and he couldn't find any other dropdown box on the lower left of my page. I suppose it doesn't matter, but I am not one to leave a stone unturned if I don't understand something.
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On our Dade DAC II the saline residual can actually be set. Otherwise I am not overly fond of the instrument.
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Are you asking how we monitor whether transfusions are appropriate for the patient?
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I think the label you want to be working on Meditech calls the Issue-transfuse card. It can print at xm and/or at issue. There is a separate crossmatch card which you can print although we use only the Issue-Transfuse card printed at crossmatch.
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We use Gammaclone anti-D on everyone.
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We don't blot and haven't failed any surveys.
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Even when they are password protected in Word, isn't it possible for anyone to delete them (by accident I assume) and also to copy them, save as not read only, change them and put them back. Not that I think anyone would, but that is along my boss' line of concern. Ours are PDF, but we are just starting this and still keeping a paper copy. (Must have downtime for when the network is down anyway.) All the techs that are too young for bifocals prefer to look them up online.
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We would repeat workup after 3 days IF patient has been transfused. Otherwise, we don't repeat until 3 days post transfusion. Since the first workup often takes a day or more that buys us some time for the steroids to kick in usually. Of course, I find these nuances are rather difficult to convince our Meditech computer of.
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I guess I am being dense. Where do we see examples of the various options?
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I think you can also email Tech Service at Immucor. I had difficulty trying to use their website last fall, but the webmaster responded to my complaints and said they were revamping the site so maybe now it is easier to find a way to contact someone via email.
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Do you then leave the separated adsol in the primary bag when you use these inverted units, thereby reducing the amount of it the baby is exposed to?
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We don't allow anything but red cells in our OR coolers. This keeps room temp FFP from warming the cooler with red cells in it and hopefully keeps plts out of them altogether. But of course, we are dealing with surgery here and there seems to be a common theme that they can't be bothered with extraneous rules and details.
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Bob, you I can harass. Hardy, not hearty, right?
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AABB publishes a booklet called Perinatal Guidelines that contains an excellent explanation of the policy and the justification for it. (John Judd wrote it.)
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I have seen a quote lately that I think you need: If you can't get everything done in a 24 hour day, try working nights.